The Naismiths of Endoscopy

The pioneers of endoscopy are discussed in the following article:

AR Schulman, JD Howell. Clin Gastroenterol Hepatol 2024; 22: 684-688.Open Access! From Hirschowitz to 2023: Modern Endoscopy and Beyond

A few excerpts:

  • “In 1868, the German physician Adolph Kussmaul looked inside the stomach of a human being. He chose to peruse the stomach of a professional sword-swallower, someone who was able to tolerate, although probably not to enjoy, a straight, 47-cm long metal tube with a diameter of 13 mm.1 This marked the beginning of the first era of endoscopy, the era of rigid endoscopy…encountered 2 fundamental problems. One, although a metal tube is straight, the gastrointestinal tract is not. And, two, the inside of the human body is dark.”
  • Rudolf Schindler, working in Munich, realized that the rigid gastroscope “never could be routinely used.”2 In 1932 he designed a semiflexible endoscope, an invention that marked the beginning of the second era of endoscopy…[after surviving Dachau concentration camp], he settled at the University of Chicago.3
  • “In 1954, [Basil] Hirschowitz learned that it might be possible to create a device that could transmit optical images along a flexible axis. Working with 2 colleagues from the University of Michigan Physics Department, which was located not far from the Medical School, he created a prototype device for looking into the stomach.”

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